CSC AFSL 238069 RSEL L0001397 ABN 48 882 817 2431922 Scheme

CSS RSE R1004649 ABN 19 415 776 361

DFRB Scheme

MilitarySuper RSE R1000306 ABN 50 925 523 120

DFRDB Scheme ABN 39 798 362 763

PSS RSE R1004595 ABN 74 172 177 893

PNG Scheme

PSSap RSE R1004601 ABN 65 127 917 725

DFSPB

The information provided in this form is general advice only and has been prepared without taking account of your personal objectives, financial situation or needs. Before acting on any such general advice, you should consider the appropriateness of the advice, having regard to your own objectives, financial situation and needs. You may wish to consult a licensed financial advisor. You should obtain a copy of the relevant Product Disclosure Statement (PDS) and consider its contents before making any decision regarding your super.

Commonwealth Superannuation Corporation (CSC) ABN: 48 882 817 243, AFSL: 238069, RSEL: L0001397 Defence Force Retirement and Death Benefits SchemeABN: 39 798 362 763

Australian Defence Force SuperannuationABN: 90 302 247 344 RSE: R1077063

Commonwealth Superannuation SchemeABN: 19 415 776 361 RSE: R1004649

Public Sector Superannuation accumulation planABN: 65 127 917 725 RSE: R1004601

Military Superannuation and Benefits SchemeABN: 50 925 523 120 RSE: R1000306

Australian Defence Force CoverABN: 64 250 674 722

Public Sector Superannuation SchemeABN: 74 172 177 893 RSE: R1004595

1922 Scheme DFRB Scheme PNG Scheme DFSPB CSC retirement income

Redundancy benefit estimate request form

BERF04/19

FOR EMPLOYER

USE

Agency Name

Agency ID

Address

SUBURB STATE POSTCODE

Contact person

PhoneBUSINESS HOURS AFTER HOURS

MOBILE NUMBER

Email

@

I confirm the member is aware this information is being sought and the member has given consent to its disclosure to the agency.

Date D D M M Y Y Y Y

/ /

Estimate to be returned by: Agency email Member email (please specify on following pages) Post

Notes:• Confirm salary and allowances on date of retirement.• Confirm recommencement from LWOP/MAT leave etc.• Confirm last birthday adjustment has been reported• Supply details of part–time hours (if varied within last six months)

1 of 2

EmailCSS and PSS: employer.service@admin.csc.gov.auPSSap: employers@pssap.com.au

PhoneCSS and PSS: 1300 338 240PSSap: 1300 308 806

FaxCSS and PSS: (02) 6272 9996PSSap: 1300 364 144

Web eac.csc.gov.au

Fax(02) 6272 9613

Emailemployer.service@csc.gov.au

Phone1300 338 240

Fax(02) 6275 7010

PostEmployer ServiceGPO Box 2252Canberra ACT 2601Web

csc.gov.auOverseas Callers+61 2 6275 7000

Member’s Details

Reference number (AGS)

Surname and initial

Date of birthD D M M Y Y Y Y

/ /

Final salary on exit $

Final 3 birthday salaries before exit

$

$

$

Proposed date of retirementD D M M Y Y Y Y

/ /

Member email

@

Comments

Please email your benefit estimate request to formsandapplications@csc.gov.au

End Form

Where can I get more information?EMAIL employer.service@csc.gov.auPHONE 1300 338 240FAX (02) 6275 7010MAIL Employer Service GPO Box 2252

Canberra ACT 2601WEB csc.gov.au

2 of 2